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'Sustainability' in global health.
[dracunculiasis]
'
Sustainability
'
has
become
a
central
criterion
used
by
funders
-
including
foundations
,
governmental
agencies
and
international
agencies
-
in
evaluating
public
health
programmes
.
The
criterion
became
important
as
a
result
of
frustration
with
discontinuities
in
the
provision
of
care
.
As
a
result
of
its
application
,
projects
that
involve
building
infrastructure
,
training
or
relatively
narrow
objectives
tend
to
receive
support
.
In
this
article
,
we
argue
for
a
reconceptualisation
of
sustainability
criteria
in
light
of
the
idea
that
health
is
an
investment
that
is
itself
sustaining
and
sustainable
,
and
for
the
abandonment
of
conceptualisations
of
sustainability
that
focus
on
the
consumable
medical
interventions
required
to
achieve
health
.
The
implication
is
a
tailoring
of
the
time
horizon
for
creating
value
that
reflects
the
challenges
of
achieving
health
in
a
community
.
We
also
argue
that
funders
and
coordinating
bodies
,
rather
than
the
specialised
health
providers
that
they
support
,
are
best
positioned
to
develop
integrated
programmes
of
medical
interventions
to
achieve
truly
sustainable
health
outcomes
.
Diseases
Validation
Diseases presenting
"central criterion"
symptom
dracunculiasis
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